Pub Date : 2022-06-30DOI: 10.26596/wn.202213255-56
M. Mannar, A. Berg, J. Menon, F. Levinson
First, a study in Bihar India found that the use of DFS in school lunches reduced anemia by 20% among schoolchildren aged 7 and 8.1 The randomized trial examined an intervention reaching nearly 2,000 children in each arm, chosen from 54 schools at a cost per child of approximately $0.35,2 and found the intervention to be cost-effective in terms of cost incurred per disabilityadjusted life-years (DALYs) saved.
{"title":"Double fortified salt in India","authors":"M. Mannar, A. Berg, J. Menon, F. Levinson","doi":"10.26596/wn.202213255-56","DOIUrl":"https://doi.org/10.26596/wn.202213255-56","url":null,"abstract":"First, a study in Bihar India found that the use of DFS in school lunches reduced anemia by 20% among schoolchildren aged 7 and 8.1 The randomized trial examined an intervention reaching nearly 2,000 children in each arm, chosen from 54 schools at a cost per child of approximately $0.35,2 and found the intervention to be cost-effective in terms of cost incurred per disabilityadjusted life-years (DALYs) saved.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84307434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.26596/wn.202213257-61
B. Melo, Gláucia Virgínia de Queiroz Lins Guerra, J. Correa, Dafne Barcala, L. Katz, V. Serva
Early COVID-19 delivery room reports routinely described maternal and neonatal physical distancing, in both confirmed or suspected cases. Immediately, breastfeeding experts expressed their concern for the potential catastrophic consequences of such separation, with great potential for breastfeeding discontinuity, particularly in low- and middle-income countries. In this manuscript, we report a positive experience of early breastfeeding promotion and maintenance in labour and delivery room, from the time of the first cases of COVID-19, confirmed or suspected, at a Baby Friendly Hospital Initiative (BFHI) and tertiary teaching hospital in Recife, in the northeastern region of Brazil.
{"title":"Breastfeeding promotion during the COVID-19 pandemic in northeastern Brazil","authors":"B. Melo, Gláucia Virgínia de Queiroz Lins Guerra, J. Correa, Dafne Barcala, L. Katz, V. Serva","doi":"10.26596/wn.202213257-61","DOIUrl":"https://doi.org/10.26596/wn.202213257-61","url":null,"abstract":"Early COVID-19 delivery room reports routinely described maternal and neonatal physical distancing, in both confirmed or suspected cases. Immediately, breastfeeding experts expressed their concern for the potential catastrophic consequences of such separation, with great potential for breastfeeding discontinuity, particularly in low- and middle-income countries. In this manuscript, we report a positive experience of early breastfeeding promotion and maintenance in labour and delivery room, from the time of the first cases of COVID-19, confirmed or suspected, at a Baby Friendly Hospital Initiative (BFHI) and tertiary teaching hospital in Recife, in the northeastern region of Brazil.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85102728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to Volume 13(2), World Nutrition","authors":"T. Greiner","doi":"10.26596/wn.20221321","DOIUrl":"https://doi.org/10.26596/wn.20221321","url":null,"abstract":"","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"121 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91052063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BackgroundThere is limited research in England on the impact and experiences of dietary advice and nutrition-related information for pregnant women. However, overseas research has shown that such information can cause women to feel anxious and confused. This study aimed to analyse the impact and experience amongst primigravids in England.MethodologyThis was a qualitative study. Twelve semi-structured individual interviews were carried out (videoconference and telephone). Interviews were audio recorded and transcribed verbatim. Inductive thematic analysis was used for data analysis. Data quality measures were adhered to throughout the research process.ResultsFive major themes were identified: ‘physiological changes and taste preferences’, ‘the health and safety of the baby comes first’, ‘scarcity of nutrition information given’, ‘seeking nutrition information for control’ and ‘every pregnant woman is unique’. Participants put the health and safety of their baby first, and this was amplified due to the COVID-19 pandemic. There was a lack of information given to participants from health care professionals. Information was broadly sought out as a way of exerting control; either to feel informed, or to restrict contact with new information in order to avoid feeling overwhelmed. In both cases, participants expressed that information was abundant. Official dietary guidelines were seen as trustworthy but too generic and not applicable to them. Some participants used multiple pregnancy apps with inaccurate information.ConclusionsAs nutrition in pregnancy is important for the woman and the growing foetus, midwives are in a critical position to advise primigravids in England. Further research is needed to understand their barriers for doing so. More is needed from the National Health Service to signpost women to using evidenced-based pregnancy apps and to enable a healthy nutrition environment post-pregnancy.
背景:在英国，关于孕妇饮食建议和营养相关信息的影响和经验的研究有限。然而，国外的研究表明，这些信息会让女性感到焦虑和困惑。本研究旨在分析英国原始人的影响和经验。方法:本研究为定性研究。进行了12次半结构化的个人访谈(视频会议和电话)。采访录音并逐字抄写。数据分析采用归纳主题性分析。在整个研究过程中都坚持数据质量措施。结果确定了五个主要主题:“生理变化和口味偏好”、“婴儿的健康和安全第一”、“提供的营养信息稀缺”、“寻求营养信息以控制”和“每个孕妇都是独一无二的”。参与者将婴儿的健康和安全放在第一位，这一点在COVID-19大流行期间被放大了。保健专业人员向参与者提供的信息不足。广泛搜集信息，作为施加控制的一种方式;要么是为了获得信息，要么是为了避免感到不知所措而限制与新信息的接触。在这两种情况下，与会者都表示信息丰富。官方饮食指南被认为是值得信赖的，但过于笼统，不适用于他们。一些参与者使用了包含不准确信息的多个怀孕应用程序。结论孕期营养对孕妇和胎儿的生长发育至关重要，助产士在英国为初产妇提供建议方面处于关键地位。需要进一步的研究来了解他们这样做的障碍。英国国家卫生服务体系(National Health Service)需要做出更多努力，引导女性使用基于证据的怀孕应用程序，并在怀孕后创造一个健康的营养环境。
{"title":"Experiences of dietary advice and nutrition-related information: a qualitative analysis of primigravid women in England during the COVID-19 pandemic","authors":"L. Prieto","doi":"10.26596/wn.20221322-13","DOIUrl":"https://doi.org/10.26596/wn.20221322-13","url":null,"abstract":"BackgroundThere is limited research in England on the impact and experiences of dietary advice and nutrition-related information for pregnant women. However, overseas research has shown that such information can cause women to feel anxious and confused. This study aimed to analyse the impact and experience amongst primigravids in England.MethodologyThis was a qualitative study. Twelve semi-structured individual interviews were carried out (videoconference and telephone). Interviews were audio recorded and transcribed verbatim. Inductive thematic analysis was used for data analysis. Data quality measures were adhered to throughout the research process.ResultsFive major themes were identified: ‘physiological changes and taste preferences’, ‘the health and safety of the baby comes first’, ‘scarcity of nutrition information given’, ‘seeking nutrition information for control’ and ‘every pregnant woman is unique’. Participants put the health and safety of their baby first, and this was amplified due to the COVID-19 pandemic. There was a lack of information given to participants from health care professionals. Information was broadly sought out as a way of exerting control; either to feel informed, or to restrict contact with new information in order to avoid feeling overwhelmed. In both cases, participants expressed that information was abundant. Official dietary guidelines were seen as trustworthy but too generic and not applicable to them. Some participants used multiple pregnancy apps with inaccurate information.ConclusionsAs nutrition in pregnancy is important for the woman and the growing foetus, midwives are in a critical position to advise primigravids in England. Further research is needed to understand their barriers for doing so. More is needed from the National Health Service to signpost women to using evidenced-based pregnancy apps and to enable a healthy nutrition environment post-pregnancy.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85615470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.26596/wn.202213234-46
F. Levinson, A. Herforth
The monitoring and evaluation (M&E) of agricultural projects for their impact on household food insecurity and nutrition is important, given the paucity of data documenting successes and failures in such projects, and because of the need to rapidly address possible adverse effects in such projects. Recognizing, however, the lack of capacity and/or reluctance of some agriculture project managers and planners to incorporate nutrition in their management information systems, a feasible alternative approach is needed, one capable of meeting agriculture-nutrition M&E objectives without encumbering project managers. To help overcome this, external teams of skilled individuals could carry out M&E for food security and nutrition. Baseline and monitoring data should indicate (a) the extent to which households and individuals within households have been reached by the project, (b) household food insecurity levels, dietary quality, and/or market-level indicators of food availability and prices, (c) women’s empowerment, (d) the health and sanitation environment, and (e) where appropriate, nutritional status. Additional data of primary interest to project managers also would be collected. Although ownership of nutrition issues in the field of agriculture is desirable in the long term, this approach offers a short-term means of assessing and learning from the nutrition effects of these agriculture projects in the immediate term. This is particularly important in the current environment of increasing interest in improving nutrition impact from such projects.
{"title":"A collaborative approach to Monitoring and Evaluating the Impact of Agricultural Projects on Nutrition","authors":"F. Levinson, A. Herforth","doi":"10.26596/wn.202213234-46","DOIUrl":"https://doi.org/10.26596/wn.202213234-46","url":null,"abstract":"The monitoring and evaluation (M&E) of agricultural projects for their impact on household food insecurity and nutrition is important, given the paucity of data documenting successes and failures in such projects, and because of the need to rapidly address possible adverse effects in such projects. Recognizing, however, the lack of capacity and/or reluctance of some agriculture project managers and planners to incorporate nutrition in their management information systems, a feasible alternative approach is needed, one capable of meeting agriculture-nutrition M&E objectives without encumbering project managers. To help overcome this, external teams of skilled individuals could carry out M&E for food security and nutrition. Baseline and monitoring data should indicate (a) the extent to which households and individuals within households have been reached by the project, (b) household food insecurity levels, dietary quality, and/or market-level indicators of food availability and prices, (c) women’s empowerment, (d) the health and sanitation environment, and (e) where appropriate, nutritional status. Additional data of primary interest to project managers also would be collected. Although ownership of nutrition issues in the field of agriculture is desirable in the long term, this approach offers a short-term means of assessing and learning from the nutrition effects of these agriculture projects in the immediate term. This is particularly important in the current environment of increasing interest in improving nutrition impact from such projects.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77268563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.26596/wn.202213262-65
George Kent
The book on Fruit and Vegetables: Opportunities and Challenges for Small-scale Sustainable Farming spelled out the central purpose of the global Year of Fruit and Vegetables in 2021. The book focuses on the economic value of fruit and vegetables for their producers. Pursuing the goal of increasing the incomes of small-scale farmers might lead them into serving more consumers with high incomes rather than those who are most needy. Perhaps the agencies involved could examine that issue in future projects.
{"title":"Review--Fruit and Vegetables:","authors":"George Kent","doi":"10.26596/wn.202213262-65","DOIUrl":"https://doi.org/10.26596/wn.202213262-65","url":null,"abstract":"The book on Fruit and Vegetables: Opportunities and Challenges for Small-scale Sustainable Farming spelled out the central purpose of the global Year of Fruit and Vegetables in 2021. The book focuses on the economic value of fruit and vegetables for their producers. Pursuing the goal of increasing the incomes of small-scale farmers might lead them into serving more consumers with high incomes rather than those who are most needy. Perhaps the agencies involved could examine that issue in future projects.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83397883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.26596/wn.202213251-54
George Kent
Many premodern food production systems were developed to meet the needs of the local community. With little distance between food producers and consumers, they were more likely to be concerned about each other’s well-being. In contrast, with modern industrialized food production, whether on farms or in factories, producers don’t know consumers at all. Food production is driven more by the pursuit of private wealth than by concerns about public health and well-being. There is a need to find the right mix between the industrial and community-based approaches.
{"title":"Why Produce Food? Shifting Motivations","authors":"George Kent","doi":"10.26596/wn.202213251-54","DOIUrl":"https://doi.org/10.26596/wn.202213251-54","url":null,"abstract":"Many premodern food production systems were developed to meet the needs of the local community. With little distance between food producers and consumers, they were more likely to be concerned about each other’s well-being. In contrast, with modern industrialized food production, whether on farms or in factories, producers don’t know consumers at all. Food production is driven more by the pursuit of private wealth than by concerns about public health and well-being. There is a need to find the right mix between the industrial and community-based approaches.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85633734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.26596/wn.202213247-50
M. Y. Konlan, H. A. K. Abiwu
The Corona Virus Disease 2019 (COVID-19) pandemic continues to spread globally, with major health, economic and social implications. Many countries closed schools as a physical distancing policy measure with the short-term view of mitigating the impact of COVID-19 by slowing its spread and reducing the burden on an already overburdened health system. Although the effectiveness of school closures on virus transmission remained a debated issue (Cohen & Kupferschmidt, 2020), prolonged school closure may have had profound negative social and health implications for children and could have exacerbated existing inequalities. In Ghana, all schools were closed down for several months. As a result, the out of school vacation time for most children doubled. We discuss three ways prolonged school closure may have affected children in Ghana . First, school closure has the tendency to exacerbate food insecurity for poor children in Ghana. For many students, not only a learning healthy The positive benefits of school feeding on improved academic performance, and the implications of food insecurity (including irregular and unhealthy diets) on poor educational achievements and related inequalities on children been studied (Schwartz & Rothbart, 2019). A significant proportion of children are food insecure in Ghana. and
{"title":"The The effect of COVID-19 lockdown on nutritional and learning needs of children in Ghana: A perspective","authors":"M. Y. Konlan, H. A. K. Abiwu","doi":"10.26596/wn.202213247-50","DOIUrl":"https://doi.org/10.26596/wn.202213247-50","url":null,"abstract":"The Corona Virus Disease 2019 (COVID-19) pandemic continues to spread globally, with major health, economic and social implications. Many countries closed schools as a physical distancing policy measure with the short-term view of mitigating the impact of COVID-19 by slowing its spread and reducing the burden on an already overburdened health system. Although the effectiveness of school closures on virus transmission remained a debated issue (Cohen & Kupferschmidt, 2020), prolonged school closure may have had profound negative social and health implications for children and could have exacerbated existing inequalities. In Ghana, all schools were closed down for several months. As a result, the out of school vacation time for most children doubled. We discuss three ways prolonged school closure may have affected children in Ghana . First, school closure has the tendency to exacerbate food insecurity for poor children in Ghana. For many students, not only a learning healthy The positive benefits of school feeding on improved academic performance, and the implications of food insecurity (including irregular and unhealthy diets) on poor educational achievements and related inequalities on children been studied (Schwartz & Rothbart, 2019). A significant proportion of children are food insecure in Ghana. and","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86992925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.26596/wn.202213224-33
R. Asghar, Humaira Fahim, C. Lifschitz
PURPOSE. Nine- and one-half percent of Pakistani children under five years of age are overweight, compared to the worldwide estimate of 5.6%. To help prevent under and over nutrition WHO recommends assessing infant and young child feeding practices for targeted interventions. The objective of our study was to compare the dietary practices of metro and non-metro, middle socioeconomic class Pakistani children to WHO guidelines. METHODS. Trained female interviewers went door to door in arbitrarily selected middle-class neighborhoods of 7 cities and if children aged 6-23 months resided in the household, their mothers were asked to answer a questionnaire about their children’s initial and complementary feeding practices and specifically, their intake in the previous 24 hours. Results of the survey were compared to WHO recommendations. RESULTS. The questionnaire was completed by 192 mothers. Results indicated that 27% of sample children had already received some food apart from any milk before age 6 months; for 6% this had occurred before the age of 3 months. In the 7–12-month-old group, 11% had not yet received any complementary foods while this was the case for 6% of those aged 13–23-months. Only 49% of the 12-17-month-old and 60% of the 18-23 achieved minimum dietary diversity. Of the 13–23-month-olds, 80% routinely received sucrose-added foods and 71%, soft drinks. CONCLUSIONS. Major deviations from WHO recommendations were observed. These included inadequate food diversity, early and late introduction of complementary feedings, and routine feeding of sweetened foods and beverages. These findings should be taken into consideration when implementing educational measures for infant and young child feeding.
{"title":"Lack of adherence to complementary feeding in middle socioeconomic status Pakistani infants and young children","authors":"R. Asghar, Humaira Fahim, C. Lifschitz","doi":"10.26596/wn.202213224-33","DOIUrl":"https://doi.org/10.26596/wn.202213224-33","url":null,"abstract":"PURPOSE. Nine- and one-half percent of Pakistani children under five years of age are overweight, compared to the worldwide estimate of 5.6%. To help prevent under and over nutrition WHO recommends assessing infant and young child feeding practices for targeted interventions. The objective of our study was to compare the dietary practices of metro and non-metro, middle socioeconomic class Pakistani children to WHO guidelines. \u0000METHODS. Trained female interviewers went door to door in arbitrarily selected middle-class neighborhoods of 7 cities and if children aged 6-23 months resided in the household, their mothers were asked to answer a questionnaire about their children’s initial and complementary feeding practices and specifically, their intake in the previous 24 hours. Results of the survey were compared to WHO recommendations. \u0000RESULTS. The questionnaire was completed by 192 mothers. Results indicated that 27% of sample children had already received some food apart from any milk before age 6 months; for 6% this had occurred before the age of 3 months. In the 7–12-month-old group, 11% had not yet received any complementary foods while this was the case for 6% of those aged 13–23-months. Only 49% of the 12-17-month-old and 60% of the 18-23 achieved minimum dietary diversity. Of the 13–23-month-olds, 80% routinely received sucrose-added foods and 71%, soft drinks. \u0000CONCLUSIONS. Major deviations from WHO recommendations were observed. These included inadequate food diversity, early and late introduction of complementary feedings, and routine feeding of sweetened foods and beverages. These findings should be taken into consideration when implementing educational measures for infant and young child feeding.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72973489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.26596/wn.202213214-23
M. Saaka, Simon Awini, Eric Nang
IntroductionAdequate assessment of appropriate complementary feeding practices requires an indicator that can measure its key components concurrently, but past studies often described the practice using single indicators. This study in northern Ghana therefore assessed the prevalence and predictors of appropriate complementary feeding practices as measured using a composite indicator.MethodsThe source of data for this analysis is from baseline studies of a community-based quasi-experimental study conducted prior to implementing a nutrition behaviour change communication intervention on radio. The study population comprised mothers and their children selected using a two-stage cluster sampling procedure. Multivariable logistic regression was used to identify factors associated with appropriate complementary feeding practices.ResultsThe overall prevalence of appropriate complementary feeding practices combining three key indicators (timely introduction of complementary food, adequacy of meal frequency, and meeting minimum dietary diversity) was 29.8% (95% CI: 27.4 - 32.3). Children aged 12-23 months [AOR = 2.26 (95% CI:1.41 - 3.61)], higher nutrition related knowledge ofcaretakers [AOR 1.51; 95% CI (1.15 - 1.98)], higher educational level of mothers [AOR1.95; 95% CI (1.17 - 3.25)], and positive nutrition related attitudes towards appropriatecomplementary feeding practices [AOR 1.59; 95% CI (1.21 - 2.09)] were significantlyassociated with appropriate complementary feeding practice.ConclusionsThe prevalence of appropriate complementary feeding practices was quite low among children aged 6–23 months. Sustainable nutrition education to mothers/caretakers during prenatal, delivery, postnatal, and child welfare clinic on appropriate complementary feeding should be strengthened to increase nutrition related knowledge and attitude towards appropriate complementary feeding practices.
{"title":"Prevalence and predictors of appropriate complementary feeding practice among mothers with children 6–23 months in Northern Ghana","authors":"M. Saaka, Simon Awini, Eric Nang","doi":"10.26596/wn.202213214-23","DOIUrl":"https://doi.org/10.26596/wn.202213214-23","url":null,"abstract":"IntroductionAdequate assessment of appropriate complementary feeding practices requires an indicator that can measure its key components concurrently, but past studies often described the practice using single indicators. This study in northern Ghana therefore assessed the prevalence and predictors of appropriate complementary feeding practices as measured using a composite indicator.MethodsThe source of data for this analysis is from baseline studies of a community-based quasi-experimental study conducted prior to implementing a nutrition behaviour change communication intervention on radio. The study population comprised mothers and their children selected using a two-stage cluster sampling procedure. Multivariable logistic regression was used to identify factors associated with appropriate complementary feeding practices.ResultsThe overall prevalence of appropriate complementary feeding practices combining three key indicators (timely introduction of complementary food, adequacy of meal frequency, and meeting minimum dietary diversity) was 29.8% (95% CI: 27.4 - 32.3). Children aged 12-23 months [AOR = 2.26 (95% CI:1.41 - 3.61)], higher nutrition related knowledge ofcaretakers [AOR 1.51; 95% CI (1.15 - 1.98)], higher educational level of mothers [AOR1.95; 95% CI (1.17 - 3.25)], and positive nutrition related attitudes towards appropriatecomplementary feeding practices [AOR 1.59; 95% CI (1.21 - 2.09)] were significantlyassociated with appropriate complementary feeding practice.ConclusionsThe prevalence of appropriate complementary feeding practices was quite low among children aged 6–23 months. Sustainable nutrition education to mothers/caretakers during prenatal, delivery, postnatal, and child welfare clinic on appropriate complementary feeding should be strengthened to increase nutrition related knowledge and attitude towards appropriate complementary feeding practices.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"143 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77100939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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